Crna

LBN: Broadlawns Medical Center
Crna is an health care organization with primary practice located at 1801 Hickman Road , Des Moines IA 50314-1548. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as the primary health care specialty. Broadlawns Medical Center can be contacted via phone (515) 282-2200, or through Mandracchia, Vincent J via phone (515) 282-2562.

Contact Information

Primary practice address
1801 Hickman Road Des Moines IA 50314-1548
Phone: (515) 282-2200
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mandracchia, Vincent J Doctor of Podiatric Medicine (DPM)
Phone: (515) 282-2562

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 2785 Iowa

Profile Details

NPI number 1306068754
LBN Legal business name Broadlawns Medical Center
DBA Doing business as Crna
Authorized official Mandracchia, Vincent J Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2007
Last updated Sep 30th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306068754 NPPES
Iowa MEDICAID 0601013
Iowa Other A5031401
Iowa Other 6230290
Iowa MEDICAID 0265959
Iowa Other 29705
Iowa Other 20023

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